在非循环性门外高血压中,分离手术和神经化治疗之间的手术结果的比较
Saad Anwar1, Kunal Parasar1, Utpal Anand1
1Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Patna, India.
Turkish journal of surgery
|February 7, 2025
概括
在儿童中,非脊柱性门高血压 (NCPH) 是通过近位鼻分流 (PSRS) 或神经化手术来管理的. 这两种手术方法的疗效和安全性相似,在30个月的随访后,再出血或门胆病症没有显著差异.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 非皮质门高血压 (NCPH) 是发展中国家儿科患者门高血压和胃肠道出血的主要原因.
- 尽管肝功能保留,但NCPH呈现出门性高血压症状.
研究的目的:
- 为了比较近接鼻突变 (PSRS) 和食管胃神经化的手术结果,用于儿童和青少年的NCPH管理.
主要方法:
- 对从2018年4月到2022年3月的前性维护数据进行了回顾性审查.
- 54名儿科NCPH患者被分为PSRS (20例) 和 devascularization (34例) 组.
- 术前特征,术后发病率和长期结果的比较.
主要成果:
- 两组手术前变量之间没有显著差异.
- PSRS涉及更长的手术持续时间 (260比200分钟),而除细胞化有更大的血液损失 (455比350毫升).
- 经过30个月的随访后,可比的术后发病率,成功的超缩性纠正,没有再出血,以及类似的门胆病率 (每组3个).
结论:
- 靠近鼻道分流 (PSRS) 和食管胃神经化是对NCPH管理同样有效和安全的外科选择.
- 这两种程序在预防再出血和管理相关并发症方面都显示出相似的长期疗效.
相关概念视频
Pre-Procedural Guidelines for Assessing Blood Pressure
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Psychosurgery
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...


